Case Reports
Granulicatella elegans: a rare cause of infective endocarditis A Case Report
Authors:
Y. L. C. P. Perera ,
Colombo South Teaching Hospital, Kalubowila, LK
W. D. Galagedara,
Colombo South Teaching Hospital, Kalubowila, LK
S. P. Gunasekara,
Apeksha Hospital, Maharagama, LK
S. Wijekoon,
University of Sri Jayawardenepura, LK
About S.
Faculty of Medical Sciences
N. S. Chandrasiri
Colombo South Teaching Hospital, Kalubowila, LK
Abstract
Granulicatella elegans belongs to nutritionally variant streptococci (NVS) which are found as normal microbiota of humans. It can cause infective endocarditis (IE) with a high mortality rate due to frequent treatment failure.
A young male with a history of migraine presented with a short history of fever, shortness of breath and a pansystolic murmur in the mitral area. Three blood cultures were positive for Gram positive cocci in chains. With echocardiographic findings of a cardiac vegetation, a definitive diagnosis of infective endocarditis was made according to Modified Duke Criteria. The culture isolate was identified as Granulicatella elegans by the VIETK® identification system. He was treated with intravenous (IV) ceftriaxone and gentamicin with subsequent improvement.
How to Cite:
Perera, Y.L.C.P., Galagedara, W.D., Gunasekara, S.P., Wijekoon, S. and Chandrasiri, N.S., 2021. Granulicatella elegans: a rare cause of infective endocarditis A Case Report. Sri Lankan Journal of Infectious Diseases, 11(2), pp.121–125. DOI: http://doi.org/10.4038/sljid.v11i2.8397
Published on
28 Oct 2021.
Peer Reviewed
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